Individual
CHRISTOPHER F LUCCHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10935 ESTATE LN STE 395, DALLAS, TX 75238-5139
(972) 798-8001
Mailing address
PO BOX 397, SHERMAN, TX 75091-0397
(419) 236-2651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P1784
TX
208600000X
Surgery Physician
34-00-5843-L
OH
208600000X
Surgery Physician
P1784
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2051087
—
OH
Enumeration date
07/12/2005
Last updated
05/20/2020
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